Please fill out the application below to close your utility account. Be sure to provide accurate information so any credits or outstanding balances will be sent to you. A confirmation receipt will be emailed to you once you fill out this form. Should you have any further questions or concerns, please email us at utilitybilling@beverlyhills.org or call (310) 285-2436.

Account Number

Account Name (First, Middle, Last)

Care/of (Optional)

Company Name (Optional)

Stop Service Date (MM/DD/YY)

Current Service Address (Ex: 123 Main Street)

City

Zip Code

Forwarding Address (Example: 123 Main Street)

City

Zip Code

Contact Name

Contact Phone Number

Secondary Phone Number

Email Address

?

Certification

I hereby acknowledge and agree to close the utility services account at the above address under the terms provided in Title 6, Chapter 1 of the City of Beverly Hills Municipal Code. I understand that I will be responsible for all charges incurred until the termination of services. Provide your digital signature by typing in your name and click "Submit" to indicate that the information provided is true and you agree to the terms above.

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